术后镇痛查房教学改革实践的实施与评价

Implementation and evaluation of teaching innovation as clinical rounds for postoperative analgesia

目的 探讨术后镇痛查房教学改革实践在麻醉学实习教学中的应用和效果.方法 选取重庆医科大学麻醉学系2011级五年制麻醉学专业80名学生为研究对象,将这些学生随机分为传统教学组（对照组）和教学改革组（实验组）.对照组学生参与科内常规术后镇痛实施及随访工作.实验组学生在接受传统教学的基础上,每周参与2次关节手术后镇痛的教学查房及案例讨论,并随访关节手术患者至出院.实习结束后,通过两组学生的问卷调查,专业理论考核及患者镇痛满意度调查评价教学效果.结果 实验组学生的教学评价及理论考核均优于对照组,而且患者的术后镇痛满意度提高.结论 术后加速康复背景下的术后镇痛查房教学改革实践可提高学生的学习积极性,提高其自我学习实践能力和理论知识水平,并提高患者满意度.

Objective To explore the method and effect of teaching rounds for postoperative analgesia in patients receiving joint surgeries for enhanced recovery after surgery （ERAS）.Methods Eighty bachelor students majoring in anesthesiology during their internship were enrolled and randomly allocated to teaching rounds group （n1 =40） and conventional teaching group （n2 =40）,students feedback,test scores for postoperative analgesia and patients＇ satisfaction were evaluated.Results Compared with students in conventional teaching group,those in teaching rounds group reported more positive feedback with respect to active learning will,mastering in skills and concepts of postoperative analgesia,more test scores and patients＇ satisfaction scores.Conclusions Teaching rounds for postoperative analgesia in patients receiving joint surgery in the context of enhanced recovery after surgery could improve active learning will and knowledge mastering of the students and also patients＇ satisfaction.